Creates provisions relating to insurance coverage of prescription drugs for advanced, metastatic cancer
Referred: Emerging Issues(H)
Summary
The bill would stop health insurance plans, including Medicaid, from forcing patients with advanced metastatic cancer to try another medication first before covering a prescribed drug for their cancer or related symptoms. It defines "advanced, metastatic cancer" and "associated condition" and limits the rule to drugs that follow best practices, are backed by peer‑reviewed evidence, and have FDA approval. The aim is to improve access to needed treatments for these patients.
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